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Epilepsy surgery. Edited by Hons Otto Lders MD PhD New York Raven Press 1992 880 pp illustrated $130

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BOOKS
Reviews
Pediatric Neuro-oncology: New Trends in Clinical
Research (Monographs in Clinical Pediatrics)
Edited by Roger J . Packer. W. Archie Bleyer, and Carl Pochedly
Philadelphia. Harwood Academic Publishers, 1992
320 pp. illustrated, $48.00
This book is the third volume in a new series of monographs
in clinical pediatrics. I t is an edited compilation of several
topics presented at the International Symposium on Neurooncology held in Seattle, Washington on June 1-3, 1989,
and offers an eclectic but noncomprehensive review of advances in epidemiology, biology, diagnosis, and management
of childhood brain and spinal cord tumors. To that end, the
editors have accomplished their goals. The book nicely highlights the interfaces of neuro-oncology with hematology, basic science, radiation therapy, and surgery; as a compendium
of ongoing research, it represents a major contribution to the
literature on the subject. The book, however, lacks a defining
core. This, plus limited attention to the treatment of specific
tumors by histological type, suggests that the volume will
not have broad appeal. For those in the field, however, this
monograph provides an excellent view of current approaches
to treatment in a complex and confusing area.
Michael E. Cohen. M D
Epilepsy Surgery
Edited by Hans Otto Liders, MD, PhD
New York, Raven Press. 1992
880 pp, illustrated, $1.30.00
This massive, beautifully illustrated text is a comprehensive
review of the field of epilepsy surgery. The volume results
from an international symposium held at the Cleveland Clinic
in 1990. The 155 authors represent the majority of the
United States and international experts active in the field.
The volume is well constructed and has 17 major sections.
The first section describes the fascinating history of the evolution of epilepsy surgery on four continents. The book then
covers the complex topic of patient selection for surgery,
including discussions of medical intractability, epileptic syndromes amenable to surgery, patient evaluation via neuroimaging, surface and depth electroencephalography, and
neuropsychological testing. A very valuable section is included on designing an epilepsy monitoring unit. Subsequent
sections cover surgical techniques and, finally, outcome. The
majority of chapters are well referenced and thorough. The
authors frequently add the considerable wealth of their own
experience to a thorough review of the literature. Not surprisingly, the sections on preferred methods of implantation,
a field full of controversry, tend to be more biased and significantly based on personal experience.
Overall, the text is an invaluable reference for anyone involved with epilepsy surgery, as well as referring neurologists
who want more information about the field.
Jacqueline A. French, M D
Frontal Lobe Function and Dysfunction
Haw0 S. h i i n . PhD, Howard M. Eisenberg, MD, and
Arthur L. Benton, PhD
New York, Ox-rd University Press, 1991
427 pp, illustrated, $49.95
This book is a review of the latest information on the microscopic anatomy, neurophysiology, and neuropsychology of
the frontal lobe in nonhuman primates and humans. This
information is then correlated with clinical experience with
patients who have suffered frontal lobe lesions. Several basic
formulations are developed in the volume that build a foundation for understanding frontal lobe function. The volume
reviews in detail the wealth of neuropsychological data obtained using the circumscribed ablation technique in nonhuman primates and correlates it to human frontal lobe deficits
in tasks that require multistep organization of behavioral response and working memory. The volume develops the concept that a major function of the frontal lobe is to integrate
specific afferent information, which then allows the organism
to select the most advantageous behavior for a particular situation.
This volume is authored by the leading experts in frontal
lobe research. It is well edited and referenced. It will be of
great interest to neurologists, psychiatrists, neurosurgeons,
and the experimentalists who labor to understand this most
interesting part of the brain.
Robert J . Schwartzman, M D
326 Annals of Neurology Vol 33 No 3 March 1993
Vertebrobasilar Arterial Disease
Edited by Ramon Berguer. MD. PhD.
and Louis R. Caplan, M D
St Louis, Quality Medical Puhli.thing, I992
312 pp. illustrated, $75.00
This book, which contains the Proceedings of the Second
Vertebrobasilar Arterial Disease Conference held in Detroit
in October 1990, exemplifies both the pros and cons of
symposium volumes: on the one hand, relative timeliness,
breadth of coverage, and useful bibliographies; on the other,
uneven quality, redundancy, and an often uncritical approach.
Eight introductory chapters consider thromboembolic as well
as mechanical and hemodynamic mechanisms of vertebrobasilar disease. Although the 7 chapters on diagnostic methods
(e.g., Doppler, arteriography, magnetic resonance imaging,
electrodiagnosis), offer clinically serviceable information,
they tend to recapitulate background material available in
more authoritative form elsewhere. Among the chapters on
management, del Zoppo’s chapter on fibrinolytic therapy is
particularly thoughtful.
Eight of the 27 chapters of this volume are devoted to
surgical aspects of vertebral artery disease, emphasizing technical points and outcome statistics while leaving largely unexplored the more critical issue of substantiation of benefit.
Three Discussion chapters, which contain paraphrases of
questionsianswers among participants, contain some pithy
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880, illustrated, 1992, hons, phd, new, epilepsy, york, otto, 130, lder, edited, rave, surgery, pres
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